MRS. JEENA JACOB (NPI# 1073893731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073893731 |
| Entity Type | Individual |
| Full Name | MRS. JEENA JACOB |
| Credential | PNP |
| Practice Address |
916 Wynnewood Shp Ctr Dallas TX 75224-1833 |
| Mailing Address |
2329 Amesbury Dr Mesquite TX 75150-5805 |
| Practice Telephone | 2149417611 |
| Mailing Telephone | 2144050724 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
720013 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114947066 | Jeena George Jacob | Psychologist | 1173 Ancient Oaks Ct, Bartlett, IL 60103-1711 | 2006-07-20 |
| 1285898684 | Jeena Jacob | Emergency Medicine | 150 Bergen Street, Emergency Department, Newark, NJ 07103-2496 | 2008-07-15 |
| 1457510141 | Jeena S. Jacob | Anesthesiology | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6574 | 2008-06-06 |
| 1538354261 | Jeena Mary Jacob | Family Medicine | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2007-09-06 |
| Street Address |
916 WYNNEWOOD SHP CTR |
| City | DALLAS |
| State | TX |
| Zip Code | 75224-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1821523317 | Hao Anh Dang | Dentist | 2221 W Ledbetter Dr Ste 100, Dallas, TX 75224 | 2017-04-22 |
| 1568820009 | Ashley Nicole Green | Dentist | 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 | 2016-01-28 |
| 1194138867 | Laurie Smith | Licensed Vocational Nurse | 3622 S Tyler St, Dallas, TX 75224 | 2014-06-10 |
| 1346667474 | Sherry Diann Flewellen-ervin | Counselor | 501 Wynnwood Village, Dallas, TX 75224 | 2014-03-26 |
| 1326381880 | Mercy Housecall Physicians Group, LLC | Clinic/Center | 501 Wynnrwood Village, Ste 102a, Dallas, TX 75224 | 2013-04-03 |
| 1437416971 | Masako Nishio M.d., P.a. | Anesthesiology | 2929 South Hampton Rd, Dallas, TX 75224 | 2012-04-23 |
| 1306119177 | Truevision Eye Care P.a. | Optometrist | 911 Wynnewood Village, Dallas, TX 75224 | 2012-02-09 |
| 1639449358 | Access Dental of Illinois Pa | Dentist | 2304 W Illinois Ave, Dallas, TX 75224 | 2012-01-11 |
| 1659649317 | Shambresha Lanette Sewell | Assisted Living Facility | 3911 Morning Spring Trl, Dallas, TX 75224 | 2011-12-09 |
| Find all providers in zip 75224 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229510 | Sara Klueber | Nurse Practitioner | 1935 Medical District Dr # C8.01, Dallas, TX 75235-7701 | 2019-01-23 |
| 1932671443 | Allison Blazek | Nurse Practitioner | 1935 Medical District Dr # F3.214, Dallas, TX 75235-7701 | 2018-12-21 |
| 1124520291 | Dalia K George | Nurse Practitioner | 7777 Forest Ln Ste C840, Dallas, TX 75230-2594 | 2018-03-06 |
| 1740790849 | Madeline Claire Crank | Nurse Practitioner | 7777 Forest Ln Ste C742, Dallas, TX 75230-6862 | 2017-10-03 |
| 1215480355 | Ashley Smith | Nurse Practitioner | 8325 Walnut Hill Ln# 225, Dallas, TX 75231 | 2016-07-25 |
| 1316349962 | Jennifer Tracy | Nurse Practitioner | 2350 N Stemmons Fwy Ste 4300mcf4, Dallas, TX 75207-2700 | 2014-09-25 |
| 1013334879 | Sneha Patel | Nurse Practitioner | 4830 Cedar Springs Rd, Unit 3, Dallas, TX 75219-1366 | 2014-03-18 |
| 1720415748 | Heidi Nicole Pettit | Nurse Practitioner | 1935 Medical District Dr # E2300, Dallas, TX 75235-7701 | 2013-10-04 |
| 1821357088 | Robyn Joy Haynes | Nurse Practitioner | 1935 Medical District Dr # D2.04, Dallas, TX 75235-7701 | 2012-05-09 |
| 1205102589 | Ashley Caroline Eckstein | Nurse Practitioner | 8440 Walnut Hill Ln Ste 540, Dallas, TX 75231-3824 | 2012-03-30 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on MRS. JEENA JACOB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.